Map of states that have passed REPLICA, or have REPLICA legislation introduced as of 12 MAR 2017.
Map of states that have passed REPLICA, or have REPLICA legislation introduced as of 12 MAR 2017.

The Recognition of EMS Personnel Licensure Interstate CompAct, also known as REPLICA, is an interstate compact that extends a "privilege to practice" in the United States from a 'home state' to 'remote states' for qualified Emergency Medical Services personnel. For a state to participate in the compact, a state must pass the model legislation into law. On October 11, 2017, when Georgia signed the REPLICA legislation into law, the EMS Compact was formalized and the Interstate Commission for EMS Personnel Practice was established. [1]

Participating states

Requirements

For states

  • Pass the REPLICA model legislation
  • Utilize the National Registry of EMTs (NREMT) examination as a condition of issuing initial licenses at the EMT and Paramedic levels
  • Within five years of passing the legislation, utilize a fingerprint or biometric background check that is compliant with the FBI requirement

For personnel

A qualified EMS personnel must:

  • Be licensed in good standing in a home state as an Emergency Medical Technician (EMT), Advanced EMT (AEMT), a Paramedic, or a level in between EMT and Paramedic[21]
  • Must be at least 18 years of age
  • Must practice under the supervision of a physician medical director

History

Early history

In 2012, EMS leaders recognized the need for qualified EMS personnel to respond across state lines in both day-to-day duties, in non-Governor level declared disaster situations, and planned large-scale events, and the requirement for state EMS licensing authorities to better share licensure information. In 2013 a National Advisory Panel held multiple meetings conceptualize the solution.

On the recommendation of the National Advisory Panel, a draft team was formed in mid-2013 to draft the model legislation.[22] The twelve member drafting team included:

  • Five members from National Association of State EMS Officials (NASEMSO)
  • The Council of State Government, (CSG) National Center for Interstate Compacts (NCIC)
  • Association of Air Medical Services (AAMS)
  • International Association of Flight and Critical Care Paramedics (IAFCC)
  • International Association of Firefighters (IAFF)
  • National EMS Management Association (NEMSA)
  • National Association of EMT’s (NAEMT)
  • Vedder Price (legal counsel)

On 7 September 2017, the National EMS Advisory Council passed a Final Advisory in support of the Recognition of Emergency Medical Services Personnel Licensure Interstate CompAct.[23]

Early Activation

The EMS Personnel Licensure Compact was originally scheduled to become active on July 1, 2020. However, with so many emergency services personnel taken out of action by quarantines associated with the COVID-19 outbreak, the decision was made to go live on March 16, 2020. Interstate Commission Chairman Joe Schmider reported that this type of emergency was what the EMS Compact was developed to accommodate. [24]

Supporting associations and organizations[25]

  • American Ambulance Association[26]
  • Association of Air Medical Services
  • Association of Critical Care Transport
  • Council Of State Governments[27]
  • International Association of Fire Chiefs[28]
  • National Association of EMS Educators
  • National Association of EMS Physicians
  • National Association of Emergency Medical Technicians
  • National Association of State EMS Officials[29]
  • National EMS Management Association
  • National Registry of Emergency Medical Technicians[30]
  • National Volunteer Fire Council
  1. ↑ "EMS Compact Member States & Commissioners". EMS Compact. 2017-10-11. Retrieved 2020-02-17.
  2. ↑ "Colorado HOUSE BILL 15-1015" (PDF). Colorado Legislature. 2015-05-08. Retrieved 2017-03-07.
  3. ↑ "84(R) HB 2498 - Enrolled version - Bill Text". www.legis.state.tx.us. Retrieved 2017-03-08.
  4. ↑ "Bill Tracking - 2016 session > Legislation". lis.virginia.gov. Retrieved 2017-03-08.
  5. ↑ "SENATE BILL 1281 – Idaho State Legislature". legislature.idaho.gov. Retrieved 2017-03-08.
  6. ↑ "HB0100". le.utah.gov. Retrieved 2017-03-08.
  7. ↑ "SB 225 | Bills and Resolutions | Kansas State Legislature". www.kslegislature.org. Retrieved 2017-03-08.
  8. ↑ "Tennessee HOUSE BILL NO. 1888" (PDF). Tennessee Legislature. 2017-03-07. Retrieved 2017-03-07.
  9. ↑ "Wyoming HB107" (PDF). Wyoming Legislature. Retrieved 2017-03-07.
  10. ↑ "Georgia SB109" (PDF). Georgia Legislature. Retrieved 2020-02-17.
  11. ↑ "Alabama HB250" (PDF). Alabama Legislature. Retrieved 2020-02-17.
  12. ↑ "Delaware SB35" (PDF). Delaware Legislature. Retrieved 2020-02-17.
  13. ↑ "Iowa Legislature - BillBook". www.legis.iowa.gov. Retrieved 2021-11-03.
  14. ↑ "Mississippi SB2828" (PDF). Mississippi Legislature. Retrieved 2020-02-17.
  15. ↑ "Missouri SB870" (PDF). Missouri Legislature. Retrieved 2020-02-17.
  16. ↑ "Nebraska LB1034" (PDF). Nebraska Legislature. Retrieved 2020-02-17.
  17. ↑ "North Dakota HB1337". North Dakota Century Code. Retrieved 2021-11-17.
  18. ↑ "South Carolina HB4486" (PDF). South Carolina Legislature. Retrieved 2020-02-17.
  19. ↑ "West Virginia HB4179". West Virginia Legislature Legislature. Retrieved 2020-04-03.
  20. ↑ "Indiana Joins the EMS Compact". EMS Compact. Retrieved 2020-04-03.
  21. ↑ "REPLICA and EMS Personnel | REPLICA". www.emsreplica.org. Retrieved 2017-03-08.
  22. ↑ "EMS Drafting Team to Meet for Third Time | CSG Knowledge Center". knowledgecenter.csg.org. Retrieved 2017-03-08.
  23. ↑ "National EMS Advisory Council Advisory" (PDF). NEMSAC. Retrieved 2017-03-08.
  24. ↑ "EMS Compact declared operational". EMS1. Retrieved 2020-04-03.
  25. ↑ "Supporting National Associations and Organizations | REPLICA". www.emsreplica.org. Retrieved 2017-03-08.
  26. ↑ "Recognition of EMS Personnel Licensure Interstate Project | American Ambulance Association". American Ambulance Association. 2015-03-27. Retrieved 2017-03-08.
  27. ↑ "Resolution in Support of the Recognition of EMS Personnel Licensure Compact (REPLICA) | CSG Knowledge Center". knowledgecenter.csg.org. Retrieved 2017-03-08.
  28. ↑ "Emergency Medical Services: REPLICA". www.iafc.org. Retrieved 2017-03-08.
  29. ↑ "The National Association of State EMS Officials". www.nasemso.org. Retrieved 2017-03-08.
  30. ↑ "National Registry of EMTs". National Registry of EMTs. Retrieved 2017-03-08.
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